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City of Santa Ana 20 civic center Plaza (M-19), Santa Ana, CA 92702 Building <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Permit #: {O{9{7OO <br />Pin #: {9299 <br />Project Address: 1220 W Hemlock Way <br />Assessor's Parcel 410411-21 Lot: NA <br />Bldg: Address Range:Suite Range: 1st Floor <br />Zoning: C2 <br />\[ <br />Block: NA Tract. NA Historic: No <br />Building Use: <br />Job Type: <br />Nature of Work <br />Commercial <br />Tenant lmprovement <br />Occupancy: <br />Constr Type <br />Code: <br />Flood Zone: <br /># of Stories: <br />B <br />VB <br />cBc 2013 <br />x-0602320259J <br />1st FL Area: <br />2nd FL Area: <br />Other Areas: <br />Garage Area <br />Total: <br />Patao: <br />T.l.Area: <br />Yards Req'd: <br />Valuation: <br />300 <br />Existing Bldg. & Use: Comm <br />Proposed Use: <br />$s0,000.00 <br />0 <br />I /13/?i.t17 <br />Tr(rrs+: g <br />ID: (litor( <br />I ofDeecription of Work: Domo existing toilet partitions and fixtures, re-build new accsssible restrooms. <br />Planning Conditions: lnterior work only.Fi,: p <br />Ted <br />t+: Ref +: lt:t191ir:r0 <br />t+:l.r17?1961 - l/13/2t117 2tl7 t't| <br />o<nrt. inn Tntol tt 1375.85 <br />1st Flr-Common Area Restroom <br />Owner: <br />Address; <br />Phone: <br />Tenant: <br />Keystone BldB/Karim Makarehchi <br />42'10 La Palma Ave <br />Anaheim, CA 92807 <br />(7',t41572-'.t123 <br />Contractor: Keystone Builders lnc <br />Address: 4212 E LaPalma Avenue <br />Anaheim, CA 92807 <br />Phone: (7141582-1123 <br />State Lic #: 951/f89 <br />Lic Type: B <br />Bus. Lic #: 339512 <br />Workers' Compensation lnsurance: <br />Carier Wesco <br />Policy #: WWC3218184 <br />Expires: O7lO1l2O17 <br />Engineer <br />Address <br />t orre Builders In, <br />6enen(ll F'lon Updnte Fee <br />Phone. <br />License # <br />Architect / <br />Desiqner: <br />Address: <br />Phone: <br />License # <br />AA Architecturei lnterior Plrnnin <br />26732 Peplta <br />Mission VldJro, CA 92591 <br />(949) 463-892,r <br />24028 <br />9&De! <br />12 <br />tt7 <br />11,37t <br />Planning Approval By; <br />Plan Checked By: <br />Permit lssued By: <br />NPDES lnsp. Req'd: <br />PWA lnsp. Req'd: <br />Planning lnsp. Req'd: <br />Landscaping lnsp. Req'd <br />Pp.s!|llo,d11^ti <br />i'Sgaft-f azetas & nssoc <br />\ broJowski. Teri <br />Dale 12J2112016 <br />Date. 0111212017 <br />Dale:0112312017 <br />Subject to Field: <br />Misc. Receipt <br />Misc. Receipt <br />Misc. Receipt <br />0 77 7600 2 <br />0 77 7600 2 <br />0 77 7600 2 <br />0 77 7600 2 <br />0 717600 2 <br />0 777600 2 <br />57607 <br />5 3600 <br />57770 <br />57672 <br />57600 <br />5760 7 <br />Permit Fee <br />Plan Check Fee <br />Microlilm Records <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuance <br />68976 <br />Total <br />$149.25 <br />$100.27 <br />$17.50 <br />$2.00 <br />$20.56 <br />$51.26 <br />No <br />No <br />No <br />No <br />Fire lnsp. Req'd: <br />Police lnsp. Req'd <br />No <br />No Account# <br />Flood Zone Cerl. Req'dr No <br />Ewry permil issued shall become invalid unless lhe worr( or, lho sila aulhonzed by <br />such pemit is connenced within 180 days afto. its issuanco.ot if tho wo* authonzed <br />on the sila by such pe ntt is suspended ot abandoned tot a period 01180 days aftet <br />the time the wotk is corfimenced . <br />$340 84 <br />$100.27 <br />$240.57 <br />lnspector MID#: 2016-133573 <br />01116002 51600 <br />01116002 51601 <br />01116002 51612 <br />01116002 577'tO <br />$20.56 '$200.51 <br />$2.00 <br />$17.50 Fee Total: <br />Paid to Date: <br />Balance Due: <br />Unit: